Department of Psychology.
Personal Disord. 2022 Sep;13(5):505-515. doi: 10.1037/per0000518. Epub 2021 Nov 15.
Borderline personality disorder (BPD) is common in jails and prisons. In a sample of 506 jail inmates (30% female), we examined whether BPD symptoms assessed upon incarceration predict subsequent institutional misconduct and treatment-seeking. BPD features modestly predicted occurrence (vs. nonoccurrence) of institutional misconduct. Importantly, BPD did not predict the number of institutional misconduct incidents. That is, BPD was not associated with frequent, repeated difficulties in institutional adjustment. Consistent with previous research showing a relationship between BPD and past treatment-seeking in clinical and community samples, jail inmates' BPD features significantly predicted subsequent requests for treatment. Regarding specific types of treatment, the relationship held for substance abuse programs and forensic mental health services but not for psychoeducational services or support groups. There were very few moderators of the link between BPD and subsequent institutional misconduct and treatment-seeking. Most of the observed relationships held across sex, race, and age. Findings of the study indicate that jail staff and clinicians must learn to distinguish between initial adjustment problems and frequent misconduct among inmates high in BPD to facilitate their adjustment. The study further highlights the need for BPD-relevant treatments and services in jails. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
边缘型人格障碍（BPD）在监狱中很常见。在一项对 506 名监狱囚犯（30%为女性）的样本中，我们研究了监禁期间评估的 BPD 症状是否预测随后的机构不当行为和寻求治疗。BPD 特征适度预测了机构不当行为的发生（与不发生相比）。重要的是，BPD 与机构不当行为事件的数量无关。也就是说，BPD 与监狱环境中频繁、反复的适应困难没有关联。与之前在临床和社区样本中显示 BPD 与过去治疗寻求之间存在关系的研究一致，监狱囚犯的 BPD 特征显著预测了随后对治疗的需求。关于特定类型的治疗，这种关系适用于药物滥用计划和法医心理健康服务，但不适用于心理教育服务或支持小组。BPD 与随后的机构不当行为和寻求治疗之间的联系几乎没有调节因素。大多数观察到的关系在性别、种族和年龄方面都成立。该研究的结果表明，监狱工作人员和临床医生必须学会区分 BPD 高风险囚犯的初始适应问题和频繁的不当行为，以帮助他们调整。该研究进一步强调了在监狱中提供 BPD 相关治疗和服务的必要性。
